The home health nurse will visit a client who has just been referred to the agency for services. During the initial visit, which intervention would take priority?
1. Develop a plan of care and discuss it with the client.
2. Explain the nurse's role in assisting the client.
3. Determine the client's need for additional services.
4. Complete a physical assessment.
ANS: 2
The first step in establishing the nurse-client relationship will be to explain the nurse's role and what the client can expect of the nurse. This is consistent with the introductory stage of the rela-tionship in any setting. The other options are important but are not the priority initial nursing ac-tion.
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